Write Brief Summary Question & Answer Guide (With Explanation)

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Original Question

write a brief summary of this patient’s visit along with psychiatric dx for this 65 y/o M client. Background: Born and raised in Peru Indiana Is staying at a shelter after being homeless in MacArthur Park for 1 year in Los Angeles. He lost his apartment and his job working part-time at Home Depot. Enjoys playing music. He has long hx of mental health treatment since age 19. Previous medication trials include lithium (was effective), Depakote (gastric upset), aripiprazole (akathisia), risperidone (hyperprolactinemia), haloperidol (dystonia), quetiapine (didn’t give a fair trial), Poor historian. divorced once, reports being gay, no children; estranged from only living sister, parents deceased. He is not sure of his family mental health or substance use history but feels like he is most like his aunt, she has history of mental health treatment “but I’m not sure for what.” States that he got a master’s degree in music theory at Stanford. Admits to 3-6 drinks of alcohol when “playing music in the clubs”, denied illicit drugs, has history of intentional drug overdose at age 22, history of 8 inpatient psychiatric hospitalization, most recent was 8 months ago. hx of one detox admission 15 years ago Allergies: bee stings

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